Get the free TRANSITION OF CARE REQUEST for - UMR

Transition of Care Transition of Care gives new UMR members the option to request extended health coverage (medical and/or mental health/substance use) for specific health needs. New members can continue

How to fill out transition of care request

How to fill out transition of care request

1. Gather patient information, including their full name, date of birth, and insurance details.
2. Collect information about the referring provider, including their name, contact information, and specialty.
3. Obtain details about the receiving provider, including their name and contact information.
4. Include the reason for the transition of care, detailing the patient's medical condition and necessary follow-up.
5. Attach any relevant medical documents, such as discharge summaries or recent test results.
6. Ensure that all sections of the request form are completed accurately.
7. Review the request for any missing information or errors before submission.
8. Submit the completed transition of care request to the receiving provider.

Who needs transition of care request?

1. Patients transferring from one healthcare provider to another due to changes in their medical condition.
2. Individuals who require specialized care that their current provider cannot offer.
3. Patients moving to a different geographic location and needing a new healthcare provider.
4. Patients discharged from a hospital who need ongoing care from a primary care physician or specialist.

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What is transition of care request?

A transition of care request is a formal process initiated when a patient moves from one healthcare setting to another, ensuring continuity of care and effective communication between providers.

Who is required to file transition of care request?

Healthcare providers, including physicians and hospitals, are required to file a transition of care request when a patient is transferred to another facility or provider.

How to fill out transition of care request?

To fill out a transition of care request, providers should complete the designated form with patient details, care needs, and the information of the receiving provider or facility.

What is the purpose of transition of care request?

The purpose of a transition of care request is to facilitate the safe transfer of patient information and care requirements from one provider to another, minimizing gaps in treatment.

What information must be reported on transition of care request?

Information that must be reported includes patient demographics, medical history, medications, reason for transfer, and the receiving provider's information.